Jana Mareckova & Sona Bockova

Jana Mareckova & Sona Bockova

Palacky University Olomouc, Czech Republic

Title: Content validation of the nursing diagnosis ineffective breathing in adults


Jana Mareckova has completed her Ph.D. at the age of 38 years from Palacky University Olomouc, Czech Republic. She is the former dean of Faculty of Health Sciences at the same university. This time, she is associated Professor at Nursing Department, the head of scientifi c centre and doctoral study program at the faculty.


The aim of this study was to perform a diagnostic content validation of the defi ning characteristics and related factors of nursing diagnosis ineff ective breathing in the Czech nursing context. On the basis of expression of expert nurses, caring for adult patients in intensive care or inpatient anesthesia workplace was performed. To assess the signifi cance of diagnostic characteristics Fehring model of validation-DCV was used. Validated diagnostic characteristics were divided into three categories: A) major (weighted score signifi cance≥0.80), B) minor (WS of 0.80 to 0.50) and C) insignifi cant (WS≤0.50). Th e dependency rate between the diagnostic elements was determined by calculating Spearman correlation analysis. On the basis of the weighted score of 0.84 was into the category of major defi ning characteristics classifi ed as dyspnoe, 13 characteristics on the basis of the weighted score from 0.52 to 0.74 were identifi ed as the minor and 4 have already been identifi ed as insignifi cant. Th e category of major related factor validated diagnosis was not included in any of the 18 observed; 14 related factors were on the basis of the weighted score from 0.55 to 0.78 included into the minor and 4 were identifi ed as insignifi cant. A strong positive correlation was found between the defi ning characteristics "decreased expiratory pressure" and "decreased inspiratory pressure" (r=0.831) and between related factors "musculoskeletal impairment" and "neuromuscular dysfunction" (r=0.710), between "neurological immaturity" and "neuromuscular dysfunction" (r=0.732).

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